Manhood and sex are important topics for a man. A small penis can cause significant discomfort in everyday life. Some men see it as a major and painful concern, which prevents them from living harmonious intimate and social relationships.
Penile lengthening (or penis lengthening)
Dr Christophe Desouches, cosmetic surgeon in Marseille, is recognized for its expertise in this procedure, also called cosmetic surgery of the penis, penoplasty or cosmetic phalloplasty.
The penis is attached to the pubis by a ligament called the suspensory ligament of the penis. The goal of this intervention is to partially disinsert this ligament in order to obtain lengthening at rest. The skin incision made at the base of the penis is made according to a design that allows by a technical device (advancement flap) to gain skin in order to increase this lengthening.
The enlargement of the penis thus obtained is 2 to 3 cm, at rest only.
Do you need to enlarge your penis?
The usefulness of this intervention is based more on the “perceived size” of the male sex rather than on objective measures. This means that for some patients, even if they are in a statistical average, it may be beneficial to proceed with penile lengthening if it resolves their physical and psychological concerns, allowing them to regain their self-confidence.
It therefore concerns any man dissatisfied with the dimensions of his penis, at rest or in erection, whether in length or in diameter.
There is no age limit, this operation can be performed by mature men as well as young men who have not yet started their sex life.
Lengthening phalloplasty intervention
The intervention consists of incising the skin between the penis and the pubis. This incision measures between 4 and 5 centimeters. It allows access to the suspensory ligament and partially detach it. A cutaneous plasty is carried out during the closing which makes it possible to obtain a gain of skin.
Sutures are made with absorbable stitches. The anesthesia used is generally complete (general anesthesia) or sometimes local combined with intravenous sedation. The operation is most of the time performed on an outpatient basis, with a discharge the same day.
The operation lasts about an hour.
The initial consultation
During this consultation, your surgeon will inquire about the importance of your social discomfort, your sex life, your erections, in order to have a precise knowledge of your case. Sometimes it will be possible that a visit to a specialist colleague such as a urologist or a psychiatrist is recommended to you, in order to give you the best advice.
Any surgery, even minor, carries risks. These complications are extremely rare and usually minor in this situation. The risk of a reaction to anesthesia cannot be eliminated. The complication sometimes found is infection or hematoma.
This penile enlargement surgery results in scarring. The evolution of these scars is unpredictable and can be exceptionally unfavorable with the occurrence of hypertrophic or retractile scars. These scarring complications can cause discomfort and require further surgery.
It is imperative to stop smoking at least one month before the surgery, tobacco being a factor in delaying healing. The intake of aspirin is prohibited 10 days before the operation. Before the surgery, it is necessary to shower with an antiseptic soap.
On the day of the operation, sufficient time should be allowed to arrive on time, without undue stress. It is important to plan a person who can accompany you home after your hospitalization and who will possibly help you during the first days after your surgery.
The postoperative effects are generally not very painful. Edema may appear which usually takes 10 to 15 days to resolve. Sexual abstinence is imperative for 3 weeks.
A support brief and bandages will be essential for 2 weeks to protect the scar from any tension. Scarring usually occurs after 2 weeks, when the sutures resolve.
The result stabilizes around the 4th month. It is on this date that we can assess the final result.
A work stoppage of a few days may be necessary, depending on the physical stress associated with your professional activity, a sedentary activity allowing a faster recovery.
The gain of 2 to 3 cm is variable from one patient to another, it depends on his anatomy. It is seen on the flaccid penis, and has a little less impact during erection.
In addition to lengthening penoplasty, it is possible to combine it with penis thickening penoplasty which will enlarge the penis using lipofilling or by injection of hyaluronic acid.
These two operations can be grouped together or considered in isolation.